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Acute kidney injury checklist

• confirm diagnosis and stage AKI
• send initial laboratory evaluation
• CBC, BMP, calcium, phosphate, magnesium, and ABG or VBG
• urine studies: urinalysis, urine microscopy, urine chemistry (sodium, urea, osmolality, creatinine)
• consider urgent ultrasound and/or foley catheter placement (if urinary tract obstruction is suspected).
• optimize volume status.
• identify and treat any metabolic complications (e.g., acidosis, hyperkalemia).
• identify and treat the underlying cause.
• hold nephrotoxic medications and renally-dose other medications.
• strict input/output monitoring
• nutritional support
• consider early nephrology consult.